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Individual

AMANDA ALICASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
402 MAIN ST STE 201, METUCHEN, NJ 08840-1960
(732) 635-9797
Mailing address
1401 HUDSON ST APT 806, HOBOKEN, NJ 07030-5665
(732) 778-3785

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00716500
NJ
101Y00000X
Counselor
106H00000X
Marriage & Family Therapist
37AC00716500
NJ

Other

Enumeration date
04/12/2023
Last updated
04/12/2023
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